English

Abstract

This study includes the works of various surgeons who adopted newer methods of gall bladder removal vis a vis standard method of laparoscopic cholecystectomy through 4-ports. Newer methods include Single- incision laparoscopic cholecystectomy (SILC) and Natural Orifice Transluminal Endoscopic Surgery (NOTES). The work of various studies of Laparoscopic Cholecystectomy (LC), a gold standard so far analysed against the newer techniques with respect to complications directly related to the procedure such as biliary injury, bile leak, infection, trochar related injury and post-operative incisional hernia; Post-operative hospital stay and return to work and expenses incurred over the surgical procedure .Laparoscopic cholecystectomy 4-port standard procedure, still rules the roost. Newer methods like SILC and NOTES though around for more than 8 yrs but yet to click with surgeons and more importantly with patients. Patients still find the 4-port LC fine and satisfied with it. Laparoscopic cholecystectomy (4-port LC) continues to be the method of choice with surgeons throughout globe except in few pockets. It has been standardized for procedure details and rate of complications and conversions .Till now apart from some extra advantage of cosmetic superiority newer methods do not provide any extra advantage as far as complications, hospital stay, return to normal activity and treatment cost are concerned.